In particular with neck surgery there is a risk of damage to multiple nerves in the head and neck area. Pdf pleomorphic adenoma is the commonest tumor of the parotid gland and mostly arises from its superficial lobe. Recently, some surgeons suggest that extracapsular dissection ecd instead of superficial parotidectomy sp for treatment of benign parotid. They consist of major and minor glands and ducts that drain secretions into the mouth.
Parotidectomy aftercare instructions what you need to know. Parotidectomy say puhrawtihdektuhmee is the removal of the parotid glands, located below the ears. Partial superficial parotidectomy for pleomorphic adenoma khalid b alghamdi, md objective. The extended parotidectomy is a complex surgery reserved, generally, for the advanced parotid malignant lesions that interest several anatomical structures, with the objective of eradicating.
In addition, in our patient collective, there was no increased recurrence rate found after limited parotid resection for pleomorphic. The aim of parotid surgery is to eradicate the pathologic process and at the same time preserving the integrity of the facial nerve. A duct through which saliva is secreted runs from each gland to the inside of the cheek. Parotidectomy is the removal of the parotid gland, located below the ear. Outcome, general, and symptomspecific quality of life. Parotidectomy procedure pdf the facial nerve is central to parotid surgery for both surgeon and patient. Sep 26, 2016 superficial lobe parotidectomy if the tumor is located on top of the facial nerve it is called a superficial lobe parotid tumor. Unlike the pleomorphic adenoma, it is more common in older white men and is the most likely to be bilateral in 10% of the cases. Parotidectomy surgery patient information and surgical informed consent you have been recommended to undergo a parotidectomy. During the microparotidectomy procedure, or minimally invasive parotid surgery, dr. Parotid salivary gland removal, superficial parotidectomy. The main reason for a parotidectomy is to remove abnormal growths that occur in the parotid gland. Purpose the parotid gland is the largest of the salivary glands. Parotidectomy is a surgical operation to remove a large salivary gland the parotid gland located in front and just below the ear.
Superficial parotidectomy deep lobe parotidectomy surgeons will spend their entire career trying to learn when it is safe or necessary to do more or less than a superficial parotidectomy 6 superficial parotidectomy indications neoplasm risk of metastasis recurrent infectionabscess surgical exposure deep lobe parapharynx. Superficial parotidectomy involves removing all of the gland superficial to the facial nerve to treat superficial parotid tumors. This liquid is usually very red as it is mostly blood. Feb 03, 2020 a parotidectomy is surgery to remove part or all of your parotid gland. This study examined whether current surgical techniques improved functional outcomes after surgery for benign parotid tumours. The procedure is most typically performed due to neoplasms tumors, which are growths of rapidly and abnormally dividing cells. Outcome, general, and symptomspecific quality of life after. Surgical techniques of repair ben nageris, md, raphael feinmesser, md every surgical procedure has its price, and so does resection of parotid tumors. Some are treatable and not so serious while others can lead to permanent damage. Lya crichlow, md lutheran medical center november 21, 2008. At the center, every micro parotidectomy is performed by both dr. Patientfamily will verbalize understanding of routine preoperative instructions.
A lazy s incision is made in front of the pinna and behind the angle of the mandible some surgeons used a modified facelift incision. A parotidectomy is the surgery used to treat benign or malignant disorders of the parotid salivary gland. Which surgical method is superior for the treatment of parotid tumor. Your parotid glands are one of the glands that release saliva spit into your mouth. Apr 04, 2016 superficial parotidectomy technique duration. Parotidectomy under general anaesthesia a case report. Please be advised that this video contains graphic footage of surgery. Warthins tumor benign papillary cystadenoma lymphomatosum is the second most common benign tumor of the parotid gland. Any information contained in this pdf file is automatically generated from digital material. They are rare in children, but when they occur over 50% are cancers. Typically, long facial incisions are used to gain access.
These glands produce saliva, the first secretion involved in digestion. Obrien cj current management of benign parotid tumors the role of limited superficial parotidectomy. Parotidectomy discharge care what you need to know. Salivary glands distributed throughout the neck and oral cavity provide saliva to aid in digestion.
Nov 27, 2014 the aim of the present study was to compare the outcomes of superficial parotidectomy sp and partial superficial parotidectomy psp in treating benign parotid tumors. Case presentation laboratory datalaboratory data 14. There are thousands of lymph nodes in your body and the collection of lymph nodes in your neck filter the lymphatic fluid from your head and neck area. Dissection was carried well around this, and it was rotated upwards with the specimen. Saliva drains from it through a tube that opens on the inside of the. Post operative instructions parotidectomy total or subtotal. In particular with neck surgery there is a risk of. Superficial parotidectomy is the most applied surgical procedure in the parotid tumors. Lateral parotidectomy medical transcription sample report. Larian will remove all or a portion of the parotid gland through a very small and wellhidden. Baptist downtown southside baptist south possible risks and complications. The micro parotidectomy is the most minimally invasive technique available and involves a minute incision near the ear to minimize scarring, recovery time and longterm complications.
Benign and early stage malignant neoplasms localized in the superficial. Benign or low grade tumor of the superficial lobe of the parotid gland 2. A skilled head and neck surgeon is needed for both a deep and superficial lobe parotidectomy due to the close proximity of the facial nerve to the surgical site. Parotidectomy with or without facial nerve removal is performed without delay4, 5. Parotidectomy definition of parotidectomy by medical. The transoral approach eliminates all facial incisions. Although damage to the facial nerve when transversing the gland is the main complication, gustatory sweat syndrome, also known as freys syndrome, should be. The most common reasons for removing all or part of this gland are a tumor, chronic infection, or obstruction of the saliva outflow causing chronic enlargement of the gland.
This involves resection of the entire parotid gland, usually with preservation of the facial nerve. Parotid surgery post operative instructions nurse line 8. It is occasionally performed for chronic infections. Many of these are tumors that have spread from other areas of the body, entering the. Neoplasms can be benign noncancerous or malignant cancerous. Partial parotidectomy versus superficial or total parotidectomy. Parotidectomy is a surgical operation to remove the parotid which is a large salivary gland located in front of the ear and slightly below it. You need saliva to help with chewing and swallowing.
Informed consent for parotidectomy introduction this information is given to you so that you can make an informed decision about having parotidectomy. Deep lobe parotidectomy indications both benign and malignant tumors deep lobe parotidectomy alone usually benign disease for malignant disease deep lobe parotidectomy generally done in conjunction with a superficial parotidectomy facial nerve preserved or removed depending on the individual case 30 deep lobe parotid surgery. Clean the area of the incision with qtips soaked in peroxide, to remove the small blood clots. Accessory parotid gland tumors are located in difficult to reach areas of the face. The majority of parotid gland tumors are benign, however 20% of parotid tumors are. As with any surgical procedure, there is a risk of bleeding, infection, scarring, and unforeseen complications. It is important to confirm that the patient has regained full motor function as determined by twitch monitoring before attempting to dissect out the. Babak larian, microparotidectomy is a revolutionary way to treat parotid tumors through the full or partial removal of the parotid gland what is microparotidectomy.
Saliva drains from it through a tube that opens on the inside of the cheek next to the first upper molar. Parotidectomy, facial nerve dissection and sialoceles. The lateral parotidectomy specimen was separated and set aside. Pdf partial superficial, superficial and total parotidectomy in the.
An adequate parotid resection technique must be chosen to achieve the least disturbing outcome. Nursing teaching for parotidectomy iowa head and neck. The parotid gland is the largest of the salivary glands. The parotidectomy procedure is the modern patient choice for parotid tumor removal. They make saliva, which enters the mouth through a tube duct near the back teeth. Commonly within parotid tail, superficial to angle of mandible. These enlargements should be checked by an otolaryngologist head and neck surgeon. Clinical characteristics, therapy and prognosis of parotid acinar cell. This is the largest salivatory gland localized near the eye. In our case we made the accurate diagnosis of warthins tumor in a short period of time and performed superficial parotidectomy without delay. Although some evidence suggests that certain lesions of the parotid gland can be treated or investigated with enucleation, it is the authors. Your parotid glands are found in your cheeks, over your jaw and in front of your ears.
Parotidectomy plastic surgery for facial deformity correction. A superficial parotidectomy is the surgical removal of the superficial part of the parotid gland, which is a large salivary gland that lies near the facial nerve there are two parotid glands, one on each side of face near the ear. While removing tumor, the critical part of the surgery is to protect and preserve all the facial nerves that are crucial to many facial functions. There are two parotid glands, one on each side of the face, just below and to the front of the ear. The most common reasons for removal of all or part of this gland are a mass in the gland, chronic infection of the gland, or obstruction of the saliva outflow from the gland causing chronic enlargement of the gland. Facial nerve preservation mandatory deep lobe tumors total parotidectomy with facial nerve preservation. They release saliva into your mouth through the parotid duct. The gland is removed to treat an infection that keeps returning or to take out a tumor. Conservation of salivary secretion and facial nerve function in partial. Twelve patients % developed parotid bed recurrence after superficial parotidectomy alone versus zero after total parotidectomy p 5. Jun 03, 2016 tumors that extend into the deep lobe may require total parotidectomy.
Data sources include ibm watson micromedex updated 4 may 2020, cerner multum updated 4 may 2020. Superficial parotidectomy versus partial superficial. This study aimed to determine the indications of partial superficial parotidectomy with extracapsular dissection and traditional superficial parotidectomy for the removal of pleomorphic adenoma. A video presentation of right superficial or lateral parotidectomy. Most tumors that grow in the parotid gland are benign. You may leave the hospital with stitches in the cut incision the. Technical modifications based on tumour characteristics article pdf available in journal of craniomaxillofacial surgery 326. The aim of the present study was to compare the outcomes of superficial parotidectomy sp and partial superficial parotidectomy psp in treating benign parotid tumors. Surgery in superficial lobe pleomorphic parotid adenoma. Variations of parotidectomy indications and technique. The main reason for a parotidectomy is to remove abnormal growths that. The pleomorphic adenoma comprises 4560% of all salivary gland tumors. Size and location of tumors, operative time, occurrence of facial nerve paralysis and freys syndrome, and cosmetic outcomes were compared among rahi, facelift incision fli, modified blair incision mbi groups. Rearrange individual pages or entire files in the desired order.
In cases of superficial and partial superficial parotidectomy with facial nerve protection for benign parotid gland tumors, the rates of permanent and transient facial nerve dysfunction range from. This approach leaves scarring and facial contour deformities. Jan 30, 2019 parotidectomy is typically performed with the patient under general anesthesia. Total versus superficial parotidectomy for stage iii melanoma. A parotidectomy is the surgical excision removal of the parotid gland, the major and largest of the salivary glands. Feb 03, 2020 a parotidectomy is surgery to remove a part, or all of one of your parotid glands. We usually used the standard modified blair sshaped incision. Surgery with superficial or total parotidectomy and postoperative radiotherapy could achieve the satisfying disease control.
Pdf purpose the aim of this paper is to present an overview of our experience in treating parotid gland tumours over a period of 10 years. Benign tumours and inflammatory conditions of the parotid gland rarely invade the facial nerve and cause dysfunction. The parotid gland is located in front and below of the ear. The parotid gland is affected most often, ranging from 36.
Patients may be quite sedated for several hours after surgery and may remain sleepy for much of the day. Nursing teaching for parotidectomy iowa head and neck protocols. Superficial parotidectomy is indicated for most benign and malignant tumors limited to the superficial lobe, for chronic sialadenitis, and as part of a lymphadenectomy for skin cancer of the scalp. Surgery in superficiallobe pleomorphic parotid adenoma. Neck dissection and superficial parotidectomy what are lymph nodes and what do they do. A number of tumors can develop in the parotid gland. Superficial parotidectomy superficial lobe parotidectomy describes removal of all or a portion of the parotid gland superficial to the facial nerve. The parotid gland is a salivary gland that lies immediately in front of the ear.
There was an obvious mass within the inferior lateral gland. Cal technique of parotidectomy via a facelift incision is described and evaluated. This gland makes saliva, which enters the mouth through a tube duct near the back teeth. The very surgery is performed in order to remove tumors from the gland. Evolution of a less than superficial parotidectomy has been reported. Though in the past, the parotidectomy recovery time could be quite extensive, new procedures have made this surgery minimally invasive and recoveries very predictable. To allow adequate monitoring of the facial nerve, paralytics should not be used beyond the induction of anesthesia. Post operative instructions parotidectomy total or subtotal background information the salivary glands are responsible for a variety of disorders that may or may not require surgery. Parotidectomy is a surgical removal of parotid gland.
Partial superficial parotidectomy via retroauricular hairline. Informed consent for parotidectomy ent center of utah. Sever al complications have been reported in parotid surgery. Parotidectomy is typically performed with the patient under general anesthesia. Most tumours that grow in the parotid glands are benign, meaning they are not cancer.
Parotidectomy is the removal of the parotid gland, a salivary gland near the ear. Partial superficial parotidectomy via retroauricular. To learn more about the department of otorhinolaryngology a. Although the incisional parotid biopsy is the diagnostic procedure of choice for systemic disease involving the parotid, the superficial parotidectomy remains the minimal biopsy of choice for a mass suspected to be a neoplasm in the parotid. Your parotid glands are found in your cheeks, over your jaw, and in front of your ears. Recurrence postoperative radiation local control rates exceed 95%. The uppermost branches were identified and preserved. This surgery, which removes the parotid gland, helps people with nerve issues, tumors, and other gland problems. Take as much time as you wish to read this information and ask questions of your doctor or the assistants. Lymph nodes filter lymphatic fluid and produce lymphocytes blood cells.
Traditionally, superficial parotidectomy is the standard technique employed to organy ochrony prawnej overview of wimax technology pdf rp pdf resect. Purpose the main purpose of parotidectomy is to remove cancerous tumors in the parotid gland. Surgeons describe the parotid gland as having two lobes, superficial and deep. Post operative instructions parotidectomy total or. Superficial lobe parotidectomy if the tumor is located on top of the facial nerve it is called a superficial lobe parotid tumor. Measure the content of the drain bulb to be done twice a day until the drain is removed. The stigma of a visually prominent facial scar following parotid surgery can be.